Organization Active NPI

Brit-in-Home Physical Therapy LTD

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1437364486
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20328 Issued in CA
Legal business name
BRIT-IN-HOME PHYSICAL THERAPY LTD
Practice address
6717 Murray Park Dr
San Diego, CA 92120-3911
Phone
(858) 692-5835
Fax
(619) 825-7500
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darren Williams, P.T.
Title
Physical Therapist
Phone
(858) 692-5835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT20328 CA Primary

Addresses

Primary practice location

6717 Murray Park Dr
San Diego, CA 92120-3911

Mailing address

6717 Murray Park Dr
San Diego, CA 92120-3911
Phone (858) 692-5835

Other identifiers 1

IdentifierTypeStateIssuer
PT203280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000328 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597864116 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7676 Jackson Dr
Ste 4
San Diego, CA 92119
Phone (858) 692-5835

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1437364486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 MURRAY PARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203911",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 MURRAY PARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203911",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIT-IN-HOME PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "858-692-5835",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT203280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.